Background: Meaning in life plays an important role in, and is associated with all dimensions of, well-being. Finding meaning in life has been shown to increase life satisfaction in residents of long-term care (LTC) institutions, whereas social support has been found to relate positively with meaning of life. Interactions with LTC staff are the main source of social support for LTC residents.
View Article and Find Full Text PDFBackground: There is ongoing controversy concerning the indications and benefits of early postoperative intraperitoneal chemotherapy (EPIC) following cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy (HIPEC) in patients with pseudomyxoma peritonei. The main contra-indications preventing wide-spread use of EPIC are reports of an increased postoperative morbidity with no clear evidence of oncological benefit. This paper reports a single high volume institution experience with EPIC over a 25-year period.
View Article and Find Full Text PDFAim: This study aims to explore the change process among chronic kidney disease patients in shared decision-making.
Design: Qualitative research is the design applied.
Method: Original transcripts from an earlier study involving a purposive sample of 31 patients with chronic kidney disease provided a source of information.
Background: The prevalence and incidence of end-stage renal disease (ESRD) in Taiwan are the highest of any country in the world. The different renal replacement therapies that are adopted by patients with ESRD significantly affect their social roles and daily life. However, because of the complexities of different renal replacement therapies, patients may be unsure of which to choose.
View Article and Find Full Text PDFThe objective of this study was to understand the experiences of special care nursery (SCN) nurses tending patients on bubble continuous positive airway pressure (bCPAP). The action research (AR) method with focus group interview was used, and five focus-group interviews were conducted between November 2015 and January 2016. Twenty SCN nurses who had cared neonates on bCPAP for at least one shift were recruited and interviewed.
View Article and Find Full Text PDFBackground: Studies have emphasized that the disclosure of a diagnosis and prognosis is the doctor's responsibility, but little attention has been given to the importance of interdisciplinary cooperation.
Objective: Therefore, this study examined and compared the effectiveness of cancer communication skills training (CST) for doctors and interdisciplinary staff in Taiwan.
Methods: This study utilized a quasi-experimental design.
Aims And Objectives: To evaluate the effects of empowerment case management on the physical health of patients with type 2 diabetes.
Background: Diabetes is a global health issue. Case management is often used on diabetes management at various levels.
Aims And Objectives: To examine activities of daily living trajectory groups among older residents in Taiwan, and to determine the relative risks of demographic characteristics and health status in explaining the trajectory group of activities of daily living.
Background: Activity of daily living is a crucial indicator of health status for institutionalised older adults. activities of daily living is a dynamic process and has differences in trajectory groups.
Background: It is important for nurses who work in long-term care facilities (LTCFs) to have an adequate level of computer competency due to the multidisciplinary and comprehensive nature of long-term care services. Thus, it is important to understand the current computer competency of nursing staff in LTCFs and the factors that relate to this competency.
Purpose: To explore the computer competency of LTCF nurses and to identify the demographic and computer-usage characteristics that relate significantly to computer competency in the LTCF environment.
Objectives: This study aims to generate evidence regarding the relationships of different dialysis modalities with HR-QOL.
Design: A systematic review was conducted to investigate the HR-QOL of patients treated with different dialysis modalities.
Methods: A literature search was conducted for English language articles in the CINAHL, Medline and PubMed databases published from January 1990 through May 2016.
Background: There is a lack of reliable and valid performance assessments for nurses in long-term care facilities in Taiwan.
Purpose: This study develops a performance assessment instrument for nurses working in long-term care facilities.
Methods: A participatory action research approach was used to validate the performance assessment instrument.
Older adults are at risk of problems of medication use including underuse, overuse, and misuse. The purposes of this study were to investigate the prevalence of the use of conventional and complementary and alternative medications (CAM) in older adults and to explore which factors related to their medication use. For this descriptive correlational study, 1,427 citizens who were 65 years old or older from two towns in Yilan County, Taiwan were interviewed by ten trained public health nurses between June and September, 2013.
View Article and Find Full Text PDFTobacco use has reached epidemic levels around the World, resulting in a world-wide increase in tobacco-related deaths and disabilities. Hospitalization presents an opportunity for nurses to encourage inpatients to quit smoking. This qualitative descriptive study was aimed to explore nurse-counsellors' perspectives of facilitators and barriers in the implementation of effective smoking cessation counselling services for inpatients.
View Article and Find Full Text PDFPerspect Psychiatr Care
January 2014
Purpose: To explore the effect of physical health status and depressive symptoms on quality of life (QOL) and to examine whether depressive symptoms mediate the effect of physical health status on the physical and mental components of QOL among institutionalized older adults.
Design And Methods: A cross-sectional study was used to assess 306 residents from 73 long-term care facilities in Taipei, Taiwan.
Findings: We found that depressive symptoms mediated the relationship between the number of chronic diseases and activities of daily living and physical components of QOL (z = -2.
Aim: This study explores the mediating effects of job satisfaction on work stress and turnover intention among long-term care nurses in Taiwan.
Background: Healthcare institutions face a nursing shortage, and it is important to examine the factors that influence turnover intention among nurses. Excessive levels of work stress may lead to employee dissatisfaction and a significant inverse relationship between work stress and job satisfaction, including subsequent effects on turnover among nurses.
Aims: The purpose of this study was to explore the mediating effects of work empowerment on job satisfaction for nurses in long-term care facilities in Taiwan.
Background: Previous research has noted that job satisfaction is an important factor that reflects upon the work environment and the characteristics of the job itself. It is important to link work empowerment to job satisfaction among nurses.
Oral health is often overlooked in institutional elder care but may have an impact on general health and ability to communicate. We aimed to determine the factor associated with chewing and swallowing problems among long-term care residents in Taiwan. Staff nurses trained to evaluate oral health assessed 781 residents using relevant sections of the Minimum Data Set 2.
View Article and Find Full Text PDFAim: This aim of this study was to evaluate the effects of a 6-month educational workshop for community leaders designed to improve their confidence in health promotion programmes and to develop partnerships among the participants.
Background: It is important for public health nurses to work with community leaders to provide community-orientated services. However, only a few existing studies have reported the content and effects of training programmes aimed at enhancing the capabilities of community leaders.
Identifying the utilization behaviors of LTC residents is necessary in order to forecast the demand and the level of resource use for health services. The purpose of this study is to understand the utilization behaviors and their predictors among residents of community-based LTC facilities in Taiwan. A prospective design was used in this study.
View Article and Find Full Text PDFAims: The aim was to explore the prevalence of five components of metabolic syndrome with respect to gender and health-promoting lifestyle behaviours.
Background: Age- and gender-specific strategies might be useful as an approach to controlling metabolic syndrome. Prevention or delaying the onset of metabolic syndrome is of utmost importance in terms of chronic disease care in Taiwan.
Background: Chronic disease patients may undergo long periods of treatment, experience changes in their lifestyle and attitude, as well as have to maintain self-care behaviors to prevent the chronic condition from worsening or to attempt to reduce potential complications. All of the above factors could negatively impact on their quality of life. Empowerment is a patient-centered, collaborative approach tailored to match the fundamental realities of chronic disease care.
View Article and Find Full Text PDFAim: To explore the relationships between work empowerment, including both structural and psychological empowerment and work stress among nurses at long-term care facilities in Taiwan.
Design: Cross-sectional design with a descriptive correlation.
Methods: Work empowerment includes both psychological and structural empowerment; 178 nurses participated in the study.
Aims And Objective: To determine the effectiveness of using the empowerment concept during the development of a mutual-help group for haemodialysis.
Background: Haemodialysis has different impacts on patients' physical, psychological and social health. The effects of mutual-support group have been found in groups of chronic disease patients.
Aims: The aims of this study were to explore health needs and need satisfaction of Taiwan's single-living older people with chronic disease in the community, develop a culturally sensitive Health Need Satisfaction Instrument and examine the relationships between health needs and need satisfaction.
Background: Until now, there has been no reliable instrument for health professionals to assess, comprehensively, health needs and needs satisfaction for Chinese single-living older people with chronic disease in the community.
Design: Between-method triangulation design was used.
Aim: The purpose of this study was to understand the relationships between organizational empowerment and job satisfaction among nursing assistants at long-term care facilities in Taiwan.
Background: Nursing assistants are the major manpower at long-term care facilities. The responsibilities of nursing assistants are complex and numerous and affect their job satisfaction.